Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27291
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: The nature of conflict in palliative care: A qualitative exploration of the experiences of staff and family members
Author(s): François, Karemah
Lobb, Elizabeth
Barclay, Sarah
Forbat, Liz
Contact Email: elizabeth.forbat1@stir.ac.uk
Keywords: Conflict
Empathy
Grief
Palliative
End-of-life
Carers
Staff
Issue Date: 31-Aug-2017
Citation: François K, Lobb E, Barclay S & Forbat L (2017) The nature of conflict in palliative care: A qualitative exploration of the experiences of staff and family members. Patient Education and Counseling, 100 (8), pp. 1459-1465. https://doi.org/10.1016/j.pec.2017.02.019
Abstract: Objectives Conflict is a significant and recurring problem in healthcare. This study aimed to understand staff and relatives’ perspectives on the characteristics of conflict and serious disagreement in adult palliative care, including triggers, risk factors and the impact on themselves and clinical care. Methods Qualitative study of 25 staff and seven bereaved relatives using individual interviews, recruited from a multidisciplinary specialist palliative care setting in Australia. Data were analysed thematically. Results Communication was frequently cited as a cause of conflict. Further, different understandings regarding disease process, syringe drivers and providing nutrition/hydration caused conflict. Staff applied empathy to moderate their responses to conflict. Relatives’ reactions to conflict followed a trend of anger/frustration followed by explanations or justifications of the conflict. Relatives identified systemic rather than interpersonal issues as triggering conflict. Conclusions The data illustrate connections with conflict literature in other clinical areas, but also points of convergence such as the compassion shown by both families and staff, and the identification of systemic rather than always individual causes. Practice implications Family meetings may fruitfully be applied to prevent and de-escalate conflict. Clinical audits may be useful to identify and provide support to families where there may be unresolved conflict impacting grief process.
DOI Link: 10.1016/j.pec.2017.02.019
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.

Files in This Item:
File Description SizeFormat 
PEC_conflict in palliative care.pdfFulltext - Published Version339.02 kBAdobe PDFUnder Permanent Embargo    Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.